Responding to the evolution of the NDIS – Implementation of a Clinical Improvement Framework for Allied Health Professionals in a Not for Profit organisation

Mrs Yolande Noble1, Ms Clare Besly1

1Montrose Therapy and Respite Services, Darra, Australia

Background: The disability sector is transforming in response to the rollout of the NDIS. Allied Health workforce development and commitment to growing and sustaining capability through investment in clinical supervision, training and mentoring, is vital to effectively adapt and be audited against the NDIS Practice Standards.

Method: An initial workforce survey at Montrose Therapy and Respite Services was completed to determine AHP supervision requirements and skill and experience levels. Once the results were analysed a tailored supervision programme was developed utilising a multi-method approach and enabled AHP’s to self-assess against a minimum set of core competencies. The framework was inclusive of mentoring and implementing discipline lead positions to facilitate best practice.

The self-assessment results were collected via survey monkey to analyse workforce data more broadly and develop an organisational response to gaps in knowledge and skills.


  • Some common themes from the initial survey included valuing supervision, and opportunities for reflective practice. Around 65% of AH staff employed in the last 12 months had 2 or less years of clinical experience, and a quarter of all AHP’s were graduates.
  • Currently 40% of the workforce have been graduated three years or less, and 60 % of AHP’s have been with Montrose less than 12 months, indicating a clear need for supervision.
  • The results of the self-assessments enabled development of learning goals for AHPs to enter into a formal supervision arrangement, as well as participation in targeted PD.

Discussion: The outcomes of this project will translate into quality assurance for customers and support to meet their goals by a competent and capable AH workforce. This work aligns with the NDIS Practice Standards core module of organisation and governance. The clinical improvement project will undergo further evaluation as the programme matures over the next 12 months, with a reporting system to provide accurate data and monitor service delivery.


Yolande Noble is a clinical and continuous improvement manager with Montrose Therapy and Respite Services. She has over 25 years of experience working in paediatric physiotherapy across a variety of settings both in the UK and in Australia. Yolande has completed a post graduate diploma in professional studies as well as extensive post graduate training within the neurosciences field and management. Yolande has developed, run and presented at several courses and conferences. Yolande recently changed direction careerwise and now works for a not for profit organisation providing services in the disability sector. Her interests include clinical governance, leadership and learning more about the NDIS quality and safeguarding framework.

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